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Contact Information

WATERS PLACE MEDICAL GROUP PC
1733 EASTCHESTER RD
BRONX, NY10461-2315
 Phone: 718-918-7901
 Fax: 718-918-8364
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nephrology

207RN0300X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for WATERS PLACE MEDICAL GROUP PC

NPI Number 1497186456
LBN Legal business name WATERS PLACE MEDICAL GROUP PC
Authorized official BUN JIM - (M.D.)
Entity Organization
Organization subpart 1 No
Enumeration date 12/02/2013
Last updated 03/13/2017 - About 4 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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